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急诊科静脉用药错误、用药知识、用药差错倾向及影响因素的观察性研究

Intravenous medication errors in the emergency department, knowledge, tendency to make errors and affecting factors: An observational study.

机构信息

Pamukkale University: Pamukkale Universitesi, Turkey.

Pamukkale University: Pamukkale Universitesi, Turkey.

出版信息

Int Emerg Nurs. 2022 Jul;63:101190. doi: 10.1016/j.ienj.2022.101190. Epub 2022 Jul 6.

DOI:10.1016/j.ienj.2022.101190
PMID:35809484
Abstract

BACKGROUND

Intravenous medication errors are common in hospital settings particularly emergency department. This study aimed to determine intravenous medication preparation and administration errors, contributing factors, tendency towards making errors and knowledge level of emergency department healthcare workers.

METHODS

A cross-sectional study using a structured, direct observation method was conducted. It was conducted with 23 emergency healthcare workers working in the emergency department of a university hospital in Turkey. Data were collected by questionnaires: Knowledge Test on Intravenous Medication Administration, Intravenous Drug Administration Standard Observation Form, Drug and Transfusion Administration Sub-Dimension scale, Perceived Stress Scale and Pittsburgh Sleep Quality Index.

RESULTS

It was determined that the knowledge level of the emergency healthcare workers about intravenous medication administration was moderate, and the tendency mistakes regarding drug and transfusion applications was very low. There was no relationship between education level, years of work, years of work in the emergency department, perceived stress level and sleep quality, and the tendency of making mistakes in drug and transfusion applications.

CONCLUSION

It is important for patient safety to prevent medication errors by determining the factors affecting intravenous medication administration, tendency to make mistakes and knowledge levels, which are frequently used in emergency department.

摘要

背景

静脉用药错误在医院环境中很常见,尤其是在急诊科。本研究旨在确定急诊科医护人员在静脉药物准备和给药方面的错误、导致错误的因素、发生错误的倾向以及他们的知识水平。

方法

采用横断面研究,使用结构化的直接观察法进行。在土耳其一所大学医院的急诊科,对 23 名急诊医护人员进行了研究。通过问卷调查收集数据:静脉给药管理知识测试、静脉药物给药标准观察表、药物和输液管理子量表、感知压力量表和匹兹堡睡眠质量指数。

结果

确定了急诊医护人员在静脉给药方面的知识水平处于中等水平,且在药物和输液应用方面犯错的倾向非常低。教育水平、工作年限、在急诊科工作的年限、感知压力水平和睡眠质量与药物和输液应用中的犯错倾向之间没有关系。

结论

通过确定影响静脉用药管理、犯错倾向和知识水平的因素,对于预防用药错误、确保患者安全非常重要,这些因素在急诊科中经常使用。

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